Claim total
$772.84
base $93.83 · payer covered $672.84
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-04-18
- Stop
- 2006-04-18
The parties
- Patient
- patient Woodrow Brett Bruen
- Provider
- provider Janice Huel
- Payer
- payer Medicaid
Record id
19bee1be-920a-c2f2-0757-41603e620abb